PARENTS QUESTIONNAIRE – AIS Altea International School

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PARENTS QUESTIONNAIREytraub2020-07-24T00:13:12+02:00

PARENTS QUESTIONNAIRE

Thank you for completing this form with as much information as possible. The details contained in it are confidential and are for the exclusive use of the members of staff of AIS International School to help us ensure that, to the best of our ability, we address and meet your child’s specific educational needs.

Parents Questionnaire

DATE *

STUDENT NAME *

First

Last

CONTACT EMAIL *

CONTACT PHONE *

ENROLLING FOR CLASS/YEAR *

POSTAL CODE + TOWN + COUNTRY

DATE OF BIRTH *

SEX *

NATIONALITY

MOTHER TONGUE

OTHER LANGUAGES

MOTHER/GUARDIAN DETAILS *

First

Last

Phone (copy)

FATHER/GUARDIAN DETAILS *

First

Last

Phone

Are parents separated

Yes
No

If so, who has legal custody?

Are parents divorced

Yes
No

If so, who has legal custody?

Student Information:

What are your child’s special interests?

Does your child have a favourite pastime?

Does your child participate in private lessons or sports activities? If so, please give details:

Please describe briefly your child’s educational experience so far:

How would you describe your child’s personality?

What particular traits would you like to see strengthened in your child?

What responsibilities does your child have at home?

Does your child have any special educational needs? (e.g. dyslexia, ADHD etc.) .

Yes
No

If so, please give details and, if possible, attach any relevant reports from educational specialists such as psychologists, speech therapists, doctors etc.

Does your child suffer from any allergies?

Yes
No

If so, please specify and indicate, if relevant, what medication has been prescribed and when it is to be taken.

What vaccinations has your child received? (e.g. tetanus, polio, MMR etc.).

Does your child have any known ailments?

Yes
No

If so, please specify and indicate, if relevant, what medication has been prescribed and when it is to be taken. If possible, please also attach any reports you may have received from doctors or other health professionals.

Does your child have any problems with vision? (e.g. wearing spectacles, contact lenses etc.).

Yes
No

If so, please specify.

Has your daughter begun to menstruate?

Yes
No

If so, does she have any particular problems related to her menstruation?

Is your child normally able to participate fully in P.E lessons?

Yes
No

If not, please tell us why not.

Does your child have specific dietary requirements? (e.g. vegetarian, vegan, celiac, kosher etc.).

Yes
No

If so, please specify.

Is there anything else that you feel we should know about your child´s development and needs?

What are your hopes and expectations for your child, yourself and your family with regards to the educational programme at our school?

(Obligatory) I accept the privacy policy of AIS | PRIVACY POLICY | *

(Obligatory) I accept the privacy policy of AIS | PRIVACY POLICY |

Name

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